Gawo la C

C-gawo ndikubereka mwana potsegula m'mimba mwa amayi m'munsi. Amatchedwanso kubereka kwaulesi.

Kubereka kwa gawo-C kumachitika ngati sikutheka kapena kotetezeka kuti mayiyo apereke mwanayo kudzera kumaliseche.

Njirayi imachitika nthawi zambiri mayi ali maso. Thupi limachita dzanzi kuyambira pachifuwa mpaka kumapazi pogwiritsa ntchito mankhwala opatsirana kapena a msana.

1. Dokotalayo amadula pamimba pamwambapa.

2. Chiberekero (chiberekero) ndi thumba la amniotic zimatsegulidwa.

3. Mwana amabadwa kudzera potsegulira uku.

Gulu lazachipatala limachotsa zakumwa mkamwa ndi mphuno za mwana. Chingwe cha umbilical chimadulidwa. Wothandizira zaumoyo adzaonetsetsa kuti kupuma kwa khanda ndikwabwinobwino ndipo zizindikilo zina zofunika ndizokhazikika.

Mayiyo amakhala atadzuka panthawiyi kuti athe kumva ndi kuwona mwana wake. Nthawi zambiri, mkazi amatha kukhala ndi munthu womuthandizira panthawi yobereka.

Kuchita opaleshoni kumatenga pafupifupi ola limodzi.

Pali zifukwa zambiri zomwe mai angafunikire kulandira gawo la C m'malo mongobereka kumaliseche.Chisankho chimadalira dokotala wanu, komwe mukukhala ndi mwana, momwe mudaperekera kale, komanso mbiri yanu yazachipatala.

Mavuto ndi mwana atha kukhala:

• Kuchuluka kwa mtima
• Malo osabadwa m'mimba, monga wopingasa (wopingasa) kapena woyambira mapazi (mphepo)
• Mavuto otukuka, monga hydrocephalus kapena spina bifida
• Kutenga mimba kangapo (katatu kapena mapasa)

Mavuto azaumoyo mwa mayi atha kukhala:

• Matenda opatsirana pogonana
• Ziphuphu zazikulu za chiberekero pafupi ndi khomo pachibelekeropo
• Matenda a HIV mwa mayi
• Gawo lakale la C
• Opaleshoni yapita pachiberekero
• Matenda owopsa, monga matenda amtima, preeclampsia kapena eclampsia

Mavuto panthawi yobereka kapena yobereka atha kukhala:

• Mutu wa khanda ndi waukulu kwambiri kuti ungadutse njira yoberekera
• Ntchito yomwe imatenga nthawi yayitali kapena kuyima
• Mwana wamkulu kwambiri
• Kutenga kapena kutentha thupi panthawi yogwira ntchito

Mavuto ndi placenta kapena umbilical chingwe atha kukhala:

• Placenta imakwirira zonse kapena gawo la kutsegula kwa ngalande yobereka (placenta previa)
• Placenta imasiyana ndi khoma la uterine (placenta abruptio)
• Chingwe cha umbilical chimabwera kudzera potsegulira ngalande asanabadwe (umbilical cord prolapse)

Gawo la C ndi njira yotetezeka. Mlingo wa zovuta zazikulu ndi wotsika kwambiri. Komabe, zoopsa zina zimakhala zazikulu pambuyo pa gawo la C kuposa pambuyo pobereka kumaliseche. Izi zikuphatikiza:

• Kutenga chikhodzodzo kapena chiberekero
• Kuvulaza kwamikodzo
• Kutaya magazi kwambiri

Nthawi zambiri, kuthiridwa magazi sikofunikira, koma chiwopsezo chimakhala chachikulu.

Gawo la C lingayambitsenso mavuto pathupi lamtsogolo. Izi zikuphatikiza chiopsezo chachikulu cha:

• Placenta previa
• Placenta ikukula mu minofu ya chiberekero ndipo imavutika kulekana mwana akabadwa (placenta accreta)
• Kuphulika kwa chiberekero

Izi zimatha kubweretsa kutuluka magazi kwambiri (kukha magazi), komwe kumafunikira kuthiridwa magazi kapena kuchotsedwa kwa chiberekero (hysterectomy).

Amayi ambiri amakhala mchipatala masiku awiri kapena atatu pambuyo pa gawo la C. Gwiritsani ntchito nthawi yolumikizana ndi mwana wanu, kupumula pang'ono, ndikulandila thandizo poyamwitsa ndi kusamalira mwana wanu.

Kuchira kumatenga nthawi yayitali kuposa momwe zimakhalira kuchokera kuberekero. Muyenera kuyendayenda pambuyo pa gawo la C kuti mupulumuke. Mankhwala opweteka omwe amatengedwa pakamwa angathandize kuchepetsa mavuto.

Kubwezeretsa gawo la C kunyumba ndikochedwa kuposa kubereka kumaliseche. Mutha kukhala ndikutuluka magazi kumaliseche kwanu mpaka milungu isanu ndi umodzi. Muyenera kuphunzira kusamalira bala lanu.

Amayi ndi makanda ambiri amachita bwino atadutsa gawo la C.

Azimayi omwe ali ndi gawo la C amatha kubereka kumaliseche ngati ali ndi pakati, kutengera:

• Mtundu wa gawo la C wachitika
• Chifukwa chomwe gawo la C lidachitika

Kubereka kumaliseche pambuyo pobereka (VBAC) kubereka kumakhala kopambana nthawi zambiri. Osati zipatala zonse kapena othandizira amapereka mwayi wa VBAC. Pali chiopsezo chochepa chophukira chiberekero, chomwe chitha kuvulaza mayi ndi mwana. Kambiranani zaubwino ndi zoopsa za VBAC ndi omwe amakupatsani.

Kubereka m'mimba; Kubadwa m'mimba; Kubadwa kwa Kaisara; Mimba - kuleka

• Gawo la Kaisara
• C-gawo - mndandanda
• Gawo la Kaisara

[Adasankhidwa] Berghella V, Mackeen AD, Jauniaux ERM. Kutumiza kwa Kaisara. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 19.

Hull AD, Resnik R, Siliva RM. Placenta previa ndi accreta, vasa previa, subchorionic hemorrhage, ndi abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 46.